Individual provider Active NPI

Gerry M Hippensteel, M.D.

  • Internal Medicine Physician
  • Vincennes, IN
National Provider Identifier
1356319115
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01025674A Issued in IN
Practice address
406 N 1St St
Vincennes, IN 47591-1340
Phone
(812) 885-0680
Fax
(812) 882-0630
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01025674A IN Primary
Medical Oncology Physician 207RX0202X 01025674A IN

Addresses

Primary practice location

406 N 1St St
Vincennes, IN 47591-1340

Mailing address

406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 885-0680

Other identifiers 1

IdentifierTypeStateIssuer
100332680AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000471 IN Practitioner - Internal Medicine 1254428055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Good Samaritan Hospital CurrentSince Jan 1, 2011 Accepting new patients
Good Samaritan Hospital Current Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

406 N 1st St
Ste J
Vincennes, IN 47591
Phone (812) 882-4694

520 S 7th St
Unit Er
Vincennes, IN 47591
Phone (812) 885-3292

615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

429 S 6th St
Vincennes, IN 47591
Phone (812) 882-3280

406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

514 S 9th St
Vincennes, IN 47591
Phone (812) 885-6990

Interoperability endpoints

  • Direct secure messaging: ghippensteel32682@direct.deaconess.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1356319115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-885-0680",
            "fax_number": "812-882-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-885-0680",
            "fax_number": "812-882-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPPENSTEEL",
        "first_name": "GERRY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01025674A",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01025674A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100332680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.